NPIMap

Organization Active NPI

Arkansas Health Group

Doing business as Baptist Health Family Clinic - Hillcrest

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1285915629
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ARKANSAS HEALTH GROUP
Doing business as
Baptist Health Family Clinic - Hillcrest
Practice address
2601 Kavanaugh Blvd
Suite 6
Little Rock, AR 72205-3990
Phone
(501) 663-4357
Fax
(501) 663-4360
NPI assigned
Aug 30, 2011
Last updated
Apr 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Will Rusher
Title
Cfo
Phone
(501) 812-7587

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2601 Kavanaugh Blvd
Suite 6
Little Rock, AR 72205-3990

Mailing address

11001 Executive Center Dr
Suite 200
Little Rock, AR 72211-4316
Phone (501) 812-7800

Other names 1

  • Baptist Health Family Clinic - Hillcrest Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111005000418 AR Part B Supplier - Clinic/Group Practice 7911802079 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2030789Baptist Health Family Clinic Hillcrest2601 Kavanaugh Suite 6, Little Rock, AR 72205Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Jeffrey S Mayfield49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

  • Baptist Health

    dba Baptist Health On-Site Clinic

    • Family Medicine Physician
    • Little Rock, AR
    • NPI 1386280691

    Member Of

    NPD member
  • Baptist Medcare, Inc

    dba Little Rock Emergency Doctors Group

    • Emergency Medicine Physician
    • Little Rock, AR
    • NPI 1699868323

    Member Of

    NPD member

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1285915629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR",
            "address_2": "SUITE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114316",
            "telephone_number": "501-812-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 KAVANAUGH BLVD",
            "address_2": "SUITE 6",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053990",
            "telephone_number": "501-663-4357",
            "fax_number": "501-663-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "RUSHER",
        "authorized_official_first_name": "WILL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "501-812-7587"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Health Family Clinic - Hillcrest",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baptist Health Family Clinic - Hillcrest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.